{"id":3698,"date":"2025-03-31T18:11:47","date_gmt":"2025-03-31T18:11:47","guid":{"rendered":"https:\/\/kidneydiseaseclinic.net\/kdc\/aripiprazole-txt\/"},"modified":"2025-03-31T18:11:47","modified_gmt":"2025-03-31T18:11:47","slug":"aripiprazole-txt","status":"publish","type":"post","link":"https:\/\/kidneydiseaseclinic.net\/kdc\/aripiprazole-txt\/","title":{"rendered":"Aripiprazole.txt"},"content":{"rendered":"<h1>Aripiprazole<\/h1>\n<p><H3>  CLINICAL USE <\/H3><br \/>\nAtypical antipsychotic for the treatment of<br \/>\nschizophrenia<br \/>\n<H3> DOSE IN NORMAL RENAL FUNCTION  <\/H3><br \/>\n10\u201330 mg daily<br \/>\n<H3>  PHARMACOKINETICS    <\/H3><br \/>\n<LI> Molecular weight &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\n448.4\n<\/li>\n<li>  %Protein binding  &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp  &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\n&gt;99\n<\/li>\n<li>  %Excreted unchanged in urine &amp;nbsp &amp;nbsp :<br \/>\n&lt;1\n<\/li>\n<p><LI> Volume of distribution (L\/kg) &amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\n4.9\n<\/li>\n<p><LI>half-life \u2013 normal\/ESRD (hrs)&amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\n75 (146 in poor<br \/>\nmetabolisers)\/<br \/>\nUnchanged<br \/>\n<H3>  DOSE IN RENAL IMPAIRMENT <\/H3><br \/>\n<H4>GFR (mL\/MIN)<\/H4><br \/>\n<LI> 20 to 50  &amp;nbsp &amp;nbsp : Dose as in normal renal function<br \/>\n<LI> 10 to 20  &amp;nbsp &amp;nbsp : Dose as in normal renal function<br \/>\n<LI> &lt;10 &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\nDose as in normal renal function<br \/>\n<H3> DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES  <\/H3><br \/>\n<LI> CAPD  &amp;nbsp &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp:<br \/>\nNot dialysed. Dose as in normal renal function<\/p>\n<li> HD &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp  &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp &amp;nbsp :<br \/>\nNot dialysed. Dose as in normal renal function<br \/>\n<LI>HDF\/high flux  &amp;nbsp :<br \/>\nUnlikely to be dialysed. Dose as in<br \/>\nnormal renal function<br \/>\n<LI>CAV\/VVHD  &amp;nbsp &amp;nbsp &amp;nbsp:<br \/>\nNot dialysed. Dose as in normal renal function<br \/>\n<H3> IMPORTANT DRUG INTERACTIONS  <\/H3><br \/>\nPotentially hazardous interactions with other drugs<\/p>\n<li>Anaesthetics: enhanced hypotensive effect\n<li>Analgesics: increased risk of convulsions\n<p>with tramadol; enhanced hypotensive and<br \/>\nsedative effects with opioids<br \/>\nAntihypertensives: may enhance <\/p>\n<p>antihypertensive effect<\/p>\n<li>Alcohol and other CNS drugs: increased\n<p>sedation and other related side effects<\/p>\n<li>Anti-arrhythmics: increased risk of\n<p>ventricular arrhythmias with anti-<br \/>\narrhythmics that prolong the QT interval<\/p>\n<li>Antibacterials: concentration possibly\n<p>reduced by rifabutin and rifampicin \u2013<br \/>\nincrease dose of aripiprazole<\/p>\n<li>Antidepressants: fluoxetine and paroxetine\n<p>possibly inhibit metabolism \u2013 reduce dose<br \/>\nof aripiprazole; concentration possibly<br \/>\nreduced by St John\u2019s wort \u2013 increase<br \/>\naripiprazole dose; increased concentration<br \/>\nof tricyclics<\/p>\n<li>Anti-epileptics: antagonises anticonvulsant\n<p>effect; concentration reduced by<br \/>\ncarbamazepine and possibly reduced by<br \/>\nphenytoin, phenobarbital and primidone \u2013<br \/>\nincrease dose of aripiprazole<br \/>\nAntifungals: metabolism inhibited by <\/p>\n<p>ketoconazole and possibly by itraconazole<br \/>\n reduce dose of aripiprazole<\/p>\n<li>Antimalarials: avoid concomitant use with\n<p>artemether\/lumefantrine<\/p>\n<li>Antivirals: metabolism possibly inhibited\n<p>by amprenavir, atazanavir, indinavir,<br \/>\nlopinavir, nelfinavir, ritonavir and<br \/>\nsaquinavir \u2013 reduce dose of aripiprazole;<br \/>\nconcentration possibly reduced by<br \/>\nefavirenz and nevirapine \u2013 increase dose<br \/>\nof aripiprazole<\/p>\n<li>Anxiolytics and hypnotics: increased\n<p>sedative effects<br \/>\nS<\/p>\n<li>ibutramine: increased risk of CNS\n<p>toxicity \u2013 avoid concomitant use<br \/>\n<H3> ADMINISTRATION  <\/H3><br \/>\n<H4> Reconstition<\/H4><br \/>\n\u2013<br \/>\n<H4>  Route  <\/H4><br \/>\nOral<\/p>\n<p><H4>  Rate of Administration  <\/H4><br \/>\n\u2013<br \/>\n<H4>Comments<\/H4><br \/>\n\u2013<br \/>\n<H4>  OTHER INFORMATION  <\/H4><br \/>\nHepatic metabolism and elimination<\/p>\n<p>Can cause QT prolongation<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aripiprazole CLINICAL USE Atypical antipsychotic for the treatment of schizophrenia<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[7],"class_list":["post-3698","post","type-post","status-publish","format-standard","hentry","category-blog","tag-post-by-auto-php"],"_links":{"self":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts\/3698","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/comments?post=3698"}],"version-history":[{"count":0,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/posts\/3698\/revisions"}],"wp:attachment":[{"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/media?parent=3698"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/categories?post=3698"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kidneydiseaseclinic.net\/kdc\/wp-json\/wp\/v2\/tags?post=3698"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}